Evidence map›Paper›PMID 32989635›Full record

SynthesisThe Psychiatric quarterly2020

Impulsivity and its Therapeutic Management in Borderline Personality Disorder: a Systematic Review.

Anaïs Mungo, Matthieu Hein, Philippe Hubain, Gwenolé Loas, Philippe Fontaine

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in The Psychiatric quarterly, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Pooled it
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  10. Associations between antidepressants and risk of suicidal behavior and violent crimes in personality disorder.European psychiatry : the journal of the Association of European Psychiatrists · 2025
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  12. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Anaïs MungoErasme Hospital, Department of Psychiatry and Sleep Laboratory, Université libre de Bruxelles, Route de Lennik, 808-1070, Anderlecht, Belgium. SecMed.Psy@erasme.ulb.ac.be.ORCID 0000-0002-8867-2658
Matthieu HeinErasme Hospital, Department of Psychiatry and Sleep Laboratory, Université libre de Bruxelles, Route de Lennik, 808-1070, Anderlecht, Belgium.
Philippe HubainErasme Hospital, Department of Psychiatry and Sleep Laboratory, Université libre de Bruxelles, Route de Lennik, 808-1070, Anderlecht, Belgium.
Gwenolé LoasErasme Hospital, Department of Psychiatry and Sleep Laboratory, Université libre de Bruxelles, Route de Lennik, 808-1070, Anderlecht, Belgium.
Philippe FontaineDepartment of Psychiatry, CHC Liège - site Saint Vincent, Rocourt, Belgium.
Université Libre de Bruxelles · BECentre Hospitalier Chrétien · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

No treatment has been approved and recognized as effective in borderline personality disorder (BPD). Impulsivity is a key dimension because it is a predictor of remission but also suicide. The purpose of this review is to establish an inventory on the management of impulsivity in BPD and determine the effective treatments. A systematic review on the PubMed and Ovid databases was conducted up to September 2019 to December 2019 using the PRISMA guidelines. The inclusion criteria were: studies with patients with borderline personality disorder, were published between 1989 and 2019, used English-language and evaluated impulsivity before and after treatment. 41 articles selected were included for pharmacological treatment. 24 articles were found for psychotherapeutic management and one randomized study of transcranial magnetic stimulation. Based on this review, we must focus on psychotherapy in BPD, particularly the schema therapy, dialectical behavioral therapy, psychoeducation, system training of emotional predictability and problem solving and psychotherapy using mentalisation. The use of neuroleptics and mood stabilizers appears to be more effective than antidepressants. Another approach, such as transcranial magnetic stimulation, may prove useful in the near future if this technique is studied further.

Indexed as

Impulsive BehaviorPsychotherapyBehavior TherapyBorderline Personality DisorderHumansSuicideSuicide PreventionBorderline personality disorderImpulsivityPharmacotherapyPsychotherapySystematic review

Identifiers

PMID32989635
OpenAlexW3090024462

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.